腹腔镜手术治疗子宫肌瘤的临床效果观察

目的探讨腹腔镜子宫肌瘤剔除术的可行性及注意事项。方法 2006年1月至2012年6月诊治子宫肌瘤患者260例随机分为腹腔镜组及开腹组各130例,腹腔镜组全麻或硬膜外麻醉十腰麻成功后实施腹腔镜子宫肌瘤剔除术,开腹手术组常规开腹进入腹腔,在肌瘤突出处切开肌层,剔除肌瘤,缝合关腹。结果腹腔镜手术患者术中出血量平均(87.12±12.34)mL、实施术后镇痛12.31%、术后病率发生6.15%、肠功能恢复时间(29.45±7.23)h、住院(3.98±1.23)d少于开腹手术患者的(120.67±16.78)mL、55.38%、22.31%(、45.59±10.56)h、(7.23±2.43)d(P<0.05),两组手术时间分别为(90.20±14.38)min及(85.73±11.45)min无显著性差异(P>0.05)。结论腹腔镜手术具出血少、机体恢复快、住院时间短等优越性,值得临床推广应用。

Clinical Effect Observation of Laparoscopic Surgery Treatment of Uterine Fibroids

Objective To explore laparoscopic myomectomy feasibility and the matters needing attention. Methods From January 2006 to June make a diagnosis and give treatment of myoma of uterus were randomly divided into 260 cases of laparoscopic group and 130 cases of open laparotomy group of each, laparoscopic group general anesthesia or epidural anesthesia ten lumbar hemp successful implementation after laparoscopic myomectomy, conventional laparotomy surgery operation into the abdominal cavity, in myorna prominent place incision muscle layer, eliminate fibroids, suture closed abdomen. Results Laparoscopic surgery patients during the operation, the amount of bleeding average （87.12：t：12.34）mL, implementation postoperative analgesia 12.31%, postoperative disease rate occurred 6.15%, intestinal function recovery time （29.45±7.23）h, be in hospital （3.98±1.23） days less open surgery patients （120.67 ±16.78）mL, 55.38%, 22.31%, （45.59±10.56） h, （7.23±2.43）days （P〈0.05）, two groups of operation time is respectively （90.20 ±14.38）min and （85.73 ± 11.45）min has no significant difference （P〉0.05）. Conclusion Laparoscopic surgery with less bleeding, the quick recovery, shorter hospitalization time and superiority, it is worth clinical application.